Woodholme Gastroenterology Associates

EndoCentre

If you would like to complete our forms prior to your office visit, please click on the form name below. Please print, complete & bring to the office with you for your visit. (If downloading the Microsoft Word Version, remember to print and save the file to your computer after adding your information.

Welcome letter (for your information)
Medication List/Rx history (please print and complete)
Patient and family medical history (please print and complete)
Follow Up Visit History form (please print and complete)
HIPAA Form (please print and complete)
Authorization to Release Medical Information (please print and complete)
Notice of Privacy Practices (for your information)

Hints for a better colonoscopy prep(for your information)
Preprocedure Letter (for your information)
Procedure Cost (for your information)
Procedure Packet (please print and complete)

Note: The PDF Files can be viewed with the Adobe Reader. If you don't already have it installed on your computer, please click the icon below to download it.

EndoCentre of Baltimore

EndoCentre at Quarterfield Station